Healthcare Provider Details

I. General information

NPI: 1407069669
Provider Name (Legal Business Name): CASSANDRA D HOBGOOD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 W MAIN ST
HYANNIS MA
02601-3855
US

IV. Provider business mailing address

280 CHESTNUT ST 2ND FLOOR
SPRINGFIELD MA
01199-1000
US

V. Phone/Fax

Practice location:
  • Phone: 508-790-3360
  • Fax: 508-790-3366
Mailing address:
  • Phone: 413-794-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number243467
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: